A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

"They are going to examine my gallbladder and ducts."

"I'll have an endoscope put down my throat so they can see my gallbladder."

"Soon those shock waves will get rid of my gallstones."

"They'll put medication into my gallbladder to dissolve the stones."

Answer and Explanation

The Correct Answer is B

A.   This is partially correct but lacks the detail that the examination is done via an endoscope through the throat.
B.   An endoscopic retrograde cholangiopancreatography (ERCP) involves the use of an endoscope to visualize and treat problems in the bile ducts, gallbladder, and pancreas.
C.   This statement reflects a misunderstanding of the procedure, as ERCP does not involve shock waves to treat gallstones.
D.   This statement also reflects a misunderstanding, as ERCP is primarily a diagnostic procedure and does not involve direct medication delivery to the gallbladder.

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Correct Answer is B

Explanation

A. While atrial fibrillation with a rapid ventricular response requires attention, it is not an immediate concern unless associated with symptoms such as chest pain, shortness of breath, or hemodynamic instability.
B. A heart rate of 50 in a patient with a newly inserted permanent pacemaker may indicate bradycardia, which could be a sign of pacemaker malfunction or lead dislodgement. This patient requires immediate assessment to rule out complications.
C. While recent implantable cardioverter-defibrillator (ICD) discharge warrants evaluation, the patient is currently in normal sinus rhythm with a heart rate of 68, suggesting stability. This patient's assessment can be prioritized after the patient with the pacemaker issue is seen.
D. A heart rate of 58 in a patient with chronic atrial fibrillation on beta-blocker therapy may not be immediately concerning if the patient is asymptomatic and hemodynamically stable. This patient can be assessed after addressing the more urgent pacemaker issue.

A. Ventricular tachycardia B. Bigeminy C. Ventricular fibrillation D. Trigeminy

Correct Answer is A

Explanation

A. Three or more consecutive premature ventricular contractions (PVCs) on an ECG tracing is indicative of ventricular tachycardia, a serious arrhythmia that requires prompt intervention.
B. Bigeminy refers to a pattern of every other beat being a PVC, not necessarily three or more consecutive PVCs.
C. Ventricular fibrillation is characterized by chaotic, disorganized ventricular activity on the ECG and is not defined by the presence of consecutive PVCs.
D. Trigeminy refers to a pattern of every third beat being a PVC, not necessarily three or more consecutive PVCs.

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A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

Nursing Test Bank

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Correct Answer is B

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Correct Answer is A

Explanation

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